Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Comprehab LLC (NPI 1407932775)

Key Findings

Field	Value
Entity Type	Organization
Organization	Comprehab LLC
Address	2675 Court Dr
City	Gastonia
State	NC
ZIP	28054
Taxonomy	Physical Therapist
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicaid	$129.7M
Medicare	$0

COMPREHAB LLC is effectively a single-payer Medicaid operation: there is no Medicare billing on file and reported Medicaid revenue totals $129.7M, indicating the provider’s entire documented revenue base comes from Medicaid rather than a mix of Medicare and Medicaid. This payer concentration exposes the organization to Medicaid policy and payment-rate risk but also suggests a focused service strategy aligned with Medicaid populations.

Revenue is extremely concentrated in a small set of procedure codes: the top 3 Medicaid codes by revenue account for 91.3% of the provider’s total Medicaid revenue, with 97153 alone representing 71.4% of Medicaid revenue, 97155 at 12.0%, and 97530 at 8.0%. This concentration means business performance and cash flow will be highly sensitive to changes in coverage, reimbursement, or utilization for those specific services.

The code mix points to a large-scale applied behavior analysis (ABA) and therapy operation. High-volume codes are 97153 (technician-delivered adaptive behavior treatment) with 297.5K claims, 97155 (provider-directed adaptive behavior treatment) with 95.3K claims, and 97530 (therapeutic activities) with 127.4K claims, which together indicate a workflow dominated by repetitive, time-based behavioral and functional therapy sessions delivered both by technicians and supervising clinicians. The presence of frequent technician codes alongside supervisory codes suggests a hub-and-staff model that scales by leveraging technician-delivered units under professional supervision.

Operational throughput is exceptionally large: average paid-per-claim values are $311 for 97153, $163 for 97155, and $81 for 97530, paired with hundreds of thousands of claims (297.5K, 95.3K, and 127.4K respectively). These volumes and per-claim payments show both high unit activity and substantial fee-per-unit revenue, explaining how a small set of codes generates the provider’s $129.7M Medicaid revenue.

COMPREHAB holds a dominant statewide competitive position in its top service lines. For 97153 it ranks #1 of 88 providers in-state at the 100th percentile (labeled an "extreme outlier"), for 97155 it ranks #1 of 84 providers in-state at the 100th percentile ("extreme outlier"), and for 97530 it ranks #3 of 519 providers in-state at the 100th percentile ("extreme outlier"); these standings indicate the provider is far above typical state volume and is a major market participant in behavioral and rehabilitative services.

Beyond the top three, COMPREHAB also bills for significant ancillary and assessment services that support an ABA/therapy program: 92507 (speech-language treatment) shows 103.1K claims and $6M revenue (4.6% of Medicaid revenue) and ranks #14 of 639 providers in-state (98th percentile), while codes for provider evaluation and caregiver training such as 97151 and 97156 appear with above-typical ranks (97151: $2.1M and 93rd percentile; 97156: $1.1M and 100th percentile), indicating a comprehensive service mix that includes evaluations and family-directed interventions.

Several specialized assessment and testing codes appear at high percentiles despite smaller revenue shares, signaling a capacity for diagnostic and outcome measurement services: 96131 ($645.4K, rank #2 of 97, 99th percentile), 96130 ($199.7K, rank #3 of 120, 98th percentile), and 96137 ($134.8K, rank #4 of 66, 95th percentile). These entries suggest COMPREHAB performs substantial formal testing and reporting in support of treatment plans, reinforcing the clinical depth behind its high-volume treatment delivery.

The practice tenure is long-standing: the NPI was enumerated on 2006-10-31 (~20 years ago), indicating an established presence in the market. Combined with the extreme concentration in Medicaid and dominance on key ABA-related codes, the provider appears to have built scale over many years within Medicaid-funded behavioral and rehabilitative care, but that same profile implies material exposure to state Medicaid policy changes affecting time-based therapy and technician-delivered services.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	297,530	$310	$92.5M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	95,260	$160	$15.5M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	127,390	$80	$10.3M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	103,110	$60	$6M
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	4,860	$430	$2.1M
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	18,810	$60	$1.1M
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	2,350	$280	$645.4K
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	5,550	$100	$549.5K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	2,200	$90	$199.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	6,270	$30	$194.2K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Carolina Distribution

Comprehab LLC — 10 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	1	90	5,820	$310	$6.4M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	1	80	2,260	$190	$1.4M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	14	640	4,280	$60	$983.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3	520	2,870	$70	$721.7K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	4	40	580	$210	$309.6K
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	9	30	110	$260	$173K
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	1	10	2,510	$60	$164.1K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	1	70	1,020	$70	$152.1K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	20	140	450	$30	$91.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	29	290	470	$30	$81.4K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hughes Behavioral And Mental Health Services Inc.	NC	Developmentally Disabled Services Day Training Agency	$0	$59.8M
Gaston Memorial Hospital, Incorporated	NC	General Acute Care Hospital	$0	$49.2M
Carolina Therapeutic Services, Inc	NC	Community/Behavioral Health Agency	$0	$46.7M
Partners Behavioral Health Management	NC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$43.7M
Center For Emotional Health	NC	Addiction Psychiatry Physician	$0	$40.1M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$32.9M
Support Incorporated	NC	Community/Behavioral Health Agency	$0	$19.1M
Gastonia Physician Services, PLLC	NC	Emergency Medicine Physician	$0	$15.8M
Gaston Adolescent Center, Inc.	NC	Community/Behavioral Health Agency	$0	$14.4M
Touchpoint Healthcare Services Inc	NC	In Home Supportive Care Agency	$0	$11.1M

Comprehab LLC — Billing Profile & Reimbursement Data

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Comprehab LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References